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Policy Limit Demand Template for England and Wales

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Key Requirements PROMPT example:

Policy Limit Demand

"Need to draft a Policy Limit Demand regarding a serious workplace injury claim against ABC Insurance, policy number POL123456, with documented medical expenses exceeding £500,000 and a policy limit of £1,000,000, requiring response by March 15, 2025."

Document background
A Policy Limit Demand is utilized when a claimant believes their damages meet or exceed the maximum coverage available under an insurance policy. This document is particularly relevant in cases involving serious injuries, substantial property damage, or significant financial losses. Under English and Welsh jurisdiction, these demands must include specific elements such as clear documentation of losses, medical reports where applicable, and explicit reference to policy terms. The Policy Limit Demand serves as a crucial step in insurance claim negotiations and potential litigation proceedings, often leading to either settlement or further legal action.
Suggested Sections

1. Date and Address Block: Formal letter heading including sender's address, recipient's address, and date

2. Reference Line: Policy number, claim number, and any other relevant reference numbers

3. Subject Line: Clear indication that this is a Policy Limit Demand

4. Claimant Information: Full details of the claimant including name, contact information, and role

5. Policy Details: Comprehensive information about the insurance policy, including policy number, type, coverage periods, and limits

6. Claim Description: Detailed account of the incident, damages, or injuries forming the basis of the claim

7. Demand Statement: Clear statement of the amount demanded up to policy limits with justification

8. Response Requirements: Specified deadline for response and required format of response

9. Closing: Formal closing, signature block, and contact information

Optional Sections

1. Liability Analysis: Detailed analysis of liability issues when liability is disputed

2. Settlement History: Summary of previous settlement attempts and negotiations, if any

3. Damages Calculation: Detailed breakdown of damages when claim involves multiple components

4. Legal Authority: Relevant case law and statutory references when legal issues are complex

Suggested Schedules

1. Schedule A - Supporting Documentation List: Itemized list of all supporting documents attached to the demand

2. Schedule B - Medical Documentation: Organized compilation of medical records and bills (for personal injury claims)

3. Schedule C - Expert Reports: Compilation of expert evaluations and professional assessments

4. Schedule D - Photographic Evidence: Organized presentation of photographic evidence with descriptions

5. Schedule E - Damages Calculation Sheet: Detailed spreadsheet or breakdown of claimed damages

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok³ÉÈ˰æ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions















Clauses















Relevant Industries
Relevant Teams
Relevant Roles
Industries

Insurance Act 2015: Primary legislation governing insurance contracts in England and Wales, establishing principles of fair presentation, warranties, and remedies for breach

Third Parties (Rights against Insurers) Act 2010: Legislation allowing third parties to claim directly against insurers in certain circumstances, particularly relevant for policy limit demands

Consumer Insurance (Disclosure and Representations) Act 2012: Act governing consumer insurance contracts and the duty of disclosure, affecting how policy terms are interpreted

Financial Services and Markets Act 2000: Framework legislation regulating financial services including insurance in the UK

Contract Law Act 1999: General contract law principles affecting formation and interpretation of insurance contracts

Unfair Contract Terms Act 1977: Legislation controlling unfair terms in contracts, including insurance policies

Consumer Rights Act 2015: Legislation protecting consumer rights, relevant when dealing with consumer insurance policies

Limitation Act 1980: Establishes time limits for bringing legal claims, crucial for policy demand deadlines

Civil Procedure Rules - Pre-Action Protocols: Procedural rules governing how claims should be handled before court proceedings

Civil Procedure Rules Part 36: Specific rules regarding settlement offers, crucial for policy limit demands

FCA Regulations: Financial Conduct Authority regulations governing insurance company conduct and consumer protection

PRA Requirements: Prudential Regulation Authority requirements ensuring insurers maintain adequate financial resources

Insurance: Conduct of Business Sourcebook (ICOBS): Detailed rules for insurance business conduct set by the FCA

UK GDPR: Data protection legislation governing how personal information must be handled in insurance claims

Data Protection Act 2018: UK's implementation of data protection requirements, working alongside UK GDPR

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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